| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,005.00 | $10,563.53 | $20,928.72 | |
BCBS
| Facility | $31,744.80 | $41,753.08 | $80,763.95 | |
Medica
| Facility | $873.50 | $1,225.46 | $9,827.51 | |
Medica
| Facility | AS | $353.33 | $353.33 | $353.33 |
Midlands
| Facility | $1,375.09 | $1,708.85 | $2,429.79 | |
United
| Facility | $3,054.00 | $4,317.00 | $13,909.00 |